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Ernest Health
Billings, Montana

Speech Language Pathologist Per Diem

Speech-Language PathologistPer Diem

Compensation

Pay not listed

The week · per this posting

Schedule not stated in this posting — no days, weekends, call or nights given.

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 1h ago · Verified live

Job Description

Speech Language Pathologist - Per Diem-New Rates - Billings, Montana

Join our world-class team of driven, passionate healthcare professionals who are focused on service excellence and providing top quality care!

Big Sky Rehabilitation Hospital in Billings, Montana, is a leading inpatient rehabilitation hospital dedicated to helping patients recover, regain independence, and achieve their highest level of function after serious illness, injury, or surgery.

Through comprehensive inpatient rehabilitation, 24-hour nursing care, and coordinated interdisciplinary treatment, our team provides expert care for patients recovering from stroke, brain and spinal cord injuries, neurological conditions, orthopedic procedures, amputations, and other complex medical conditions.

Serving communities across Montana and the surrounding region, we help patients return to their families, workplaces, and everyday lives with greater strength, confidence, and independence. Every team member plays a vital role in creating life-changing outcomes and moments of hope for patients and families.

Join a collaborative, compassionate team dedicated to delivering exceptional care through human connection.

As a participating hospital of Ernest Health, we offer robust recognition, wellness, and retention programs. These programs focus to enhance the employees’ work experience, recognize, and celebrate achievements.

We also encourage employees to share their work experience through “My Ernest Journey” and through our Engagement Survey, where our approach is “You Spoke, We Listened”. These platforms provide additional avenues for employees to give feedback about their work experience and share what is important to them.

Qualifications

Required Skills

  • Current and valdi state licensure as a Speech Language Pathologist required.
  • Certificate of Clinical Competence from ASHA or Clinical Fellowship Year status or equivalent preferred.
  • Two years’ experience in rehabilitation hospital setting preferred.
  • Current BLS certification from an approved required.

Additional Qualifications/Skills

Demonstrates an understanding of treatment costs and financial support as they relate to quality and efficiency.

Demonstrates appropriate application of age specific standards, policies and procedures and guidelines in caring for adolescent, adult, and geriatric patients

  • Demonstrates competency in the provision of care according to established standards
  • Knowledge of clinical operations and procedures.
  • Demonstrates general computer skills including: data entry, word processing, email, and record management.
  • Leadership skills in delegating, organizing, and educating coworkers and staff.
  • Effective organizational and time management skills.
  • Effective written and verbal communication skills.
  • Ability to maintain proper levels of confidentiality.
  • Ability to work closely and professionally with others.
  • Ability to maintain quality, safety, and/or infection control standards.

Responsibilities

Assesses, diagnoses, and treats speech, language, cognitive, communication, voice, swallowing, fluency, and other related disorders. Integrates the hospital’s mission and “Guiding Principles” into daily practice.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Speech language pathologyPatient assessmentDiagnosisTreatment planningSwallowing therapyCognitive therapyCommunication therapy

Speech-Language Pathologist Career Context

Of the 50 active Speech-Language Pathology listings this role was benchmarked against, 6% are remote, 54% have no call, 56% require no weekends.

Speech-Language Pathology pay on WeekdayDoc is up 4.1% vs. the prior quarter (through Sep 2026).

The cost-of-living index for Montana is 94.6 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of Montana clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top contract/1099 Speech Language Pathologist Jobs

43 matches · ranked by pay

Salary Distribution35 jobs · 32 employers

10
<$105k
7
$105k-125k
8
$125k-145k
9
$145k-165k
1
$166k

Annual compensation range

Benefits & Perks38 jobs · 32 employers

401k / retirement match
82%
CME allowance
58%
Sign-on bonus
11%
Loan repayment
11%
Relocation assistance
11%

Share of similar jobs offering each benefit

#1

Speech Language PathologistContract

Thera Peds · Conifer, Colorado

$65-$80/hr
#2

Speech Language PathologistContract

Thera Peds · Pawtucket, Rhode Island

$61.5-$75.75/hr
#3

Speech Therapist, SLP, Fl

$65-$75/hr
#4

Speech Therapist

$65-$75/hr
+ 41 more · ranked by pay

Work-life snapshot

median 2.8this job 2.8
Better work-life than 50% of Speech Language Pathology listings

Listing-based score, 0–10, across 6,922 comparable listings. Shaded area = the share scoring below this one.

Living in Billings

Typical 3-bedroom home value
$387k
Typical market rent
$1,426/mo
Residents’ average commute
17 min
Metro price indexU.S. average = 100
93.5
State income tax
Up to 6.8%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Billings, MT metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

Ernest Health logo

About Ernest Health

Hospitals and Health Care
Mesquite, Texas
501-1,000 employees

Benefits & Perks

Robust Recognition, Wellness, and Retention Programs